His Mercy Assisted Llc

LBN: His Mercy Assisted Llc
His Mercy Assisted Llc is an health care organization with primary practice located at 12362 W Joblanca Rd , Avondale AZ 85323-3130. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. His Mercy Assisted Llc can be contacted via phone (623) 600-8926, or through Agoro, Ayo via phone (623) 600-8926.

Contact Information

Primary practice address
12362 W Joblanca Rd Avondale AZ 85323-3130
Phone: (623) 600-8926
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Agoro, Ayo CEO
Phone: (623) 600-8926

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1366030561
LBN Legal business name His Mercy Assisted Llc
DBA Doing business as
Authorized official Agoro, Ayo CEO
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2021
Last updated Jan 4th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366030561 NPPES
Arizona Other BH6411 STATE

Popular Providers